RAF Scores Not Aligning with Your Care?

We ensure the codes match the care.

RCxRules HCC Coding Software automatically reviews 100% of the diagnosis codes coming out of your EMR to ensure full HCC capture for the most accurate RAF scores.

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"In a single week we saw an additional $100K+ in otherwise missing RAF value by using the RCxRules HCC Coding Software. With RCxRules, we were easily able to scale up with value-based contracts. The value of RCxRules software is unprecedented—in fact, it's a necessity for any organization with risk-based contracts."
Kelly Macken-Marble
Kelly Macken-Marble CEO, The South Bend Clinic

A Quick and Cost-Effective Solution to Improve RAF Scores

Using HCC coders alone is a cost-prohibitive way to improve HCC capture and re-capture rates. RCxRules automated HCC coding software dramatically increases coder productivity by identifying and directing only those high-value encounters with HCC coding gaps to coders for review—all before a claim is submitted. 

How HCC Coding Tool Improves RAF Scores

Supported value-based programs:

 

  • Medicare Advantage Plans
  • Managed Medicaid
  • Accountable Care Organizations (ACOs)
  • Comprehensive Primary Care Plus
  • Oncology Care Model

Dramatically Increase Coder Productivity and RAF Scores

300% increase in HCC coder productivity
20% increase in HCC codes captured
"The automation RCxRules brought to our HCC coding process led to a dramatic productivity hike in our organization and is a key factor in our success with MSSP. The technology is extremely user friendly and the RCxRules team is flexible and responsive."
Kimberly Clifton Director of ACO Operations, Arizona Community Physicians

Inside the HCC Coding Software

RCxRules identifies value-based encounters and reviews those encounters for HCC coding gaps. The software compares diagnosis codes to historical HCCs as well as suspected HCCs from population health management software or a payer.

If there’s a missed HCC code, your coders can review and correct the diagnosis code before it’s submitted as a claim.

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Where the hcc coding tool fits into the workflow

 

A Simple Approach to RAF Score Improvement

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Concurrent CODER Review

Retrospective chart reviews are manual and expensive. RCxRules' instantaneous coding workflow reviews encounters before they are submitted as a claim to ensure accurate HCC capture the first time.

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7x ROISUPPORTED BY reporting

Track HCC improvements with real time insights into the HCCs added or deleted by your coders. See how the software pays for itself within the first few months.

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world-class support

Your success is our success. We pride ourselves on the quality of our implementations and support. A dedicated account manager will work with you to optimize the software so you can reach your goals.

Frequently Asked HCC Coding Software Questions